Author Question: A 77-year-old woman who experiences significant anxiety has been taking diazepam for several months. ... (Read 69 times)

fasfsadfdsfa · **on:** Jul 23, 2018

A 77-year-old woman who experiences significant anxiety has been taking diazepam for several months.

She was brought to the clinical earlier this week by her daughter, who stated that her mother had been behaving in an uncharacteristicall y confused manner. The clinician discontinued the patient's diazepam. Three days later, the daughter states that her mother has still been having problems with impaired memory and confusion. The nurse should consider what possible explanation for the patient's current status? A) Benzodiazepines can occasionally cause permanent alterations in personality and level of consciousness.
B) The patient may have decreased liver function.
C) The patient may have been experiencing a hypersensitivity to the drug, rather than an adverse effect.
D) The adverse effects of benzodiazepines can persist for several days after stopping the drug.

Question 2

A hospital patient with a diagnosis of type 1 diabetes is ordered Humulin R on a sliding scale. Based on the patient's blood glucose reading, the nurse administered 8 units of insulin at 07:45 .

The nurse recognizes the need to follow up this intervention and will reassess the patient's blood glucose level when the insulin reaches peak efficacy. The nurse should consequently check the patient's blood glucose level at what time? A) 08:15
B) Between 08:45 and 09:45
C) Between 09:45 and 10:45
D) Between 11:15 and 11:45

mceravolo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Both therapeutic effects and adverse effects of diazepam are more likely to occur after 2 or 3 days of therapy than initially. Such effects accumulate with chronic usage and persist for several days after the drug is discontinued. Hypersensitivity and decreased liver function are unlikely. Benzodiazepines do not cause permanent changes in cognition.

Answer to Question 2

C
Feedback:
Humulin R peaks between 2 and 3 hours after administration.